Healthcare Provider Details

I. General information

NPI: 1811774565
Provider Name (Legal Business Name): WAYSTONE HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2023
Last Update Date: 09/14/2023
Certification Date: 09/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 CENTRE DR STE 102
STEPHENS CITY VA
22655-4073
US

IV. Provider business mailing address

104 MAVERICK CT
STEPHENS CITY VA
22655-4833
US

V. Phone/Fax

Practice location:
  • Phone: 540-227-0043
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEJANDRO GONZALEZ
Title or Position: OWNER / PHYSICAL THERAPIST
Credential: DPT
Phone: 540-227-0043